Individual
DR. LISE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
280 HENRY ST, NEW YORK, NY 10002-4816
(212) 227-8401
(212) 227-8842
Mailing address
280 HENRY ST, NEW YORK, NY 10002-4816
(212) 227-8401
(212) 227-8842
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005480
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02117320
—
NY
Enumeration date
04/14/2006
Last updated
03/20/2020
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